169851 03/18/2009 CITY OF CARMEL, INDIANA VENDOR: 358585 Page 1 of 1
ONE CIVIC SQUARE CERTIFIED FIRE SYSTEMS CONSULTA'URECK AMOUNT: $165.00
i, CARMEL, INDEANA 46432 358 W OLD SOUTH STREET
BARGERSVILLE IN 46306 CHECK NUMBER: 169851
CHECK DATE: 3/18/2009
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
1205 4351501 1011 .165.00 EQUIPMENT MAINT CONTR
his f
p
Certified Fire Systems Consultant! Invoice
W Old South Street
Bargerville In 46106 Number: 1011
317 -422 -0893
317 422 -0894 Fax Date: February 26, 2009
Bill To: Ship To:
Jeff Barnes
Carmel Civic Center
1 Civic Square
Carmel, IN 46032
PO Number Terms
verbal net 30
Date Description Quantity Price Amount
02/26/09 Quarterly Fire Sprinkler System Inspection 1.00 165.00 165.00
Total $165.00
New Email Address cfscinc@comcast.net
0 30 days 31 60 days 61 90 days 90 days Total
$165.00 $0.00 $0.00 $0.00 $165.00
Pre: abed by State Board of Accounts City Form No. 201 (Rev. 1995)
A ACCOUNTS PAYABLE VOUCHER
CITY OF CARMEL
An invoice or bill to be properly itemized must show: kind of service, where performed, dates service rendered, by
whom, rates per day, number of hours, rate per hour, number of units, price per unit, etc.
Payee
Certified Fire System Consultants Purchase Order No.
Terms
Date Due
Invoice Invoice Description Amount
Date Number (or note attached invoice(s) or bill(s))
rNO inn Win e Spi ii ikjer System 'on
Total
I hereby certify that the attached invoice(s), or bill(s), is (are) true and correct and I have audited same in accordance
with IC 5- 11- 10 -1.6.
20
Clerk- Treasurer
VOUCHER NOO/f67E—)9WARRANT NO.
ALLOWED 20
Certified Fir System Consultants
IN SUM OF
*358 W. Old South Street
Bagersville, IN 46106
$165.00
ON ACCOUNT OF APPROPRIATION FOR
GENERALFUND
1205 Administration
Board Members
DPr INVOICE NO. ACCT #/TITLE AMOUNT I hereby certify that the attached invoice(s), or
bill(s) is (are) true and correct and that the
120 O eaterials or services itemized thereon for
which charge is made were ordered and
received except
20
Si gnature
Title
Cost distribution ledger classification if
claim paid motor vehicle highway fund